| NPI | 1801816814 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: WV 29818) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: OH 35.132265) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: WY 16835C) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: MA 1018671) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: FL ME58872) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: MO 2024007887) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: ND 20891) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: GU MC-219) | |
| Enumeration Date | 2006-07-20 |
| Last Update Date | 2024-09-24 |